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Poem No. 127, May 2022, Huntsville Literary Association (Huntsvile, Ala.)

POEM

The Huntsville Literary Association was founded in 1967 to provide a community for writers, readers, and artists through workshops, readings, and educational programs. One of their key contributions is the literary magazine titled POEM which showcases original writings from both established and emerging writers. This issue features poems from various writers.

Feasibiity And Acceptability Of Tele-Neurology Services At A Regional Tertiary Referral Centre: A Prospective Study., Fazal Yakub

Master of Medicine in Internal Medicine

Background: Neurological diseases are a leading cause of morbidity and mortality worldwide with a great burden lying in Sub-Saharan Africa. The paucity of neurologists in the region makes neurological care disproportionately inaccessible. Utility of tele-medicine is low cost, time efficient, convenient, reducing the carbon footprint and ultimately increasing health care access. Objective: We identified whether the concept of tele-neurology was feasible within our setup for patients with stable neurological diseases while establishing the cost effectiveness, efficiency, convenience and the carbon footprint burden. Methods: We conducted a prospective cross-sectional study. New patients were triaged by the neurologist based on guidelines from …

Gender And Regional Differences Within The Southern Subculture Of Violence, Caitlin Oconnor

Honors Capstones

No abstract provided.

A Qualitative Analysis Of The Remote Food Photography Method And The Automated Self-Administered 24-Hour Dietary Assessment Tool For Assessing Children's Food Intake Reported By Parent Proxy, Traci A. Bekelman, Susan L. Johnson, Rachel I. Steinberg, Corby K. Martin, Katherine A. Sauder, Sophie Luckett-Cole, Deborah H. Glueck, Daniel S. Hsia, Dana Dabelea, P. B. Smith, K. L. Newby, D. K. Benjamin

Clinical Research Faculty Publications

Background: Accuracy and participant burden are two key considerations in the selection of a dietary assessment tool for assessing children's full-day dietary intake. Objective: The aim of this study was to identify barriers experienced by parents and burden when using two technology-based measures of dietary intake to report their child's intake: the Remote Food Photography Method (RFPM) and the Automated Self-Administered 24-hour Dietary Assessment Tool (ASA24). Design: Qualitative, semistructured, focus groups were conducted with parents who served as proxy reporters of their child's dietary intake using the two different dietary assessment methods (ie, RFPM and ASA24) 1 week apart. Participants/setting: …

Variation And Predictors Of Gross Motor Coordination Development In Azorean Children: A Quantile Regression Approach, Sara Pereira, Flávio Bastos, Carla Santos, José Maia, Go Tani, Leah E. Robinson, Peter T. Katzmarzyk

Population and Public Health Science Faculty Publications

We investigated the development of gross motor coordination (GMC) as well as its predictors in school-aged Azorean children. The sample included 181 children (90 girls), followed consecutively for 4 years from 6 to 9 years of age. GMC was assessed with the Körperkoordination-stest für Kinder, and predictors included body mass index, standing long jump, 50-yard dash, and shuttle run. The changes in GMC and the effects of predictors were analyzed with mean-modeling as well as quantile regression. In the latter, we considered the following three quantiles (Q): Q20, Q50, and Q80 as markers of low, median, and high GMC levels, …

Redpilling Normies: An Ethnography Of Alt-Right 4chan Discourse, Emily Marie Paff

Undergraduate Honors Thesis Collection

The alt-right is an ever-growing presence in American society yet little is known about their strategies for political organizing and engaging and growing their following. Through the popularization of the internet, individuals' ability to access far-right ideology and form communities around it has become increasingly easy. While there have been many attempts to limit alt-right rhetoric online, no such attempts have been made on 4chan.org. That paired with the level of anonymity present on the platform has allowed alt-right rhetoric to flourish with no repercussions. This project takes an ethnographic approach to examine redpill discourse on 4chan’s /pol/ board to …

What We Need: A Poetic Study In Struggle And Self-Healing, Grace Anne Calabria

Undergraduate Honors Thesis Collection

In many ways, this thesis examines the eternal, repetitive inevitabilities of life. In a collection of poems, these inevitabilities are examined through the eyes of an observant and omniscient narrator: a girl, long in love with a boy, facing the struggles and rewards of learning to be alone in various ways after the 2020 pandemic. Because this thesis provides an examination of struggles and self-healing alongside its creative centerpiece of the collection, the poems are accompanied by a compilation of memoiristic reflections. This thesis contributes to conversations of mental health, love, growth, and finding legitimacy and value in creative work, …

From Madness To Medicine: How Nazi Medical Experimentation Morphed Into Today’S Medical Field, Alexandria Daughn Kerby

Undergraduate Honors Thesis Collection

It is no secret that many of our current scientific and medical advancements stem from a long history of research, trials, and experimentation, but not enough is known about the origins of our routine practices. The Holocaust enabled Nazi doctors to explore countless victims in search of the ultimate answer to the Jewish question. The answer: to alleviate the burden that those deemed “unworthy of life” placed on the greater society. The mass extermination practices which highlight the atrocities of the Holocaust are the end result of constant scientific developments disguised as medicine. Tiergarten 4 (T4) serves as the beginning …

Federal Funding For The Arts & Developmental Success In Western Nations, Sophia Ciokajlo

Undergraduate Honors Thesis Collection

Culture is undeniably a vital part of any society. To preserve and develop their culture, a majority of modern states allocate some part of their annual expenditure to the arts. The amount of money and system through which it is distributed varies from country to country, but the principle remains the same. Not only do countries value the contribution of culture to their common well-being, but it is also widely accepted that participation in the arts, as a performer or viewer, holds benefit for the individual. All of this considered, I sought to investigate whether or not the size of …

Hispanic Hoosiers: Ethnonym Use Among The Hispanic Population In The Midwest, Ericela Yetlanezi Sahagun

Undergraduate Honors Thesis Collection

This study expands on previous research on one dimension of ethnic identity construction within the Hispanic community by considering ethnonym usage. A majority of the research on Hispanic identity in the U.S. has been conducted in the western region of the country. However, regional differences with varying concentrations of Hispanic populations can have a huge impact on ethnic identity and by extension, ethnonym adoption and usage. For many, ethnonyms are symbols of who a person is, how they perceive themselves, and how they want the world to perceive them. Previous studies have acknowledged the relationship between ethnic identity and ethnonym …

Investigating Instagram Marketing Strategies For Nonprofit Donor Engagement During The Covid-19 Pandemic, Annabella Cobos

Undergraduate Honors Thesis Collection

The implications of the COVID-19 pandemic have led to a profound shift in various industries around the world, the non-profit industry being one of them. In this research the author virtually interviewed four participants with experience in marketing from three non-profit organizations to determine what strategic components of Instagram marketing worked best to influence donations during the COVID-19 pandemic. The changed marketing strategies in the nonprofit industry are the result of changed donor behavior. The results from the interview findings reveal two Instagram marketing strategies were successfully adapted to influence donations during the pandemic: focusing on authentic media to increase …

Russetid: The Norwegian Ritual Transition To Adulthood, Kynnedy Masheck

Undergraduate Honors Thesis Collection

Russefeiring (Russ celebration), the Norwegian celebration of high school graduation, is a coming of age rite of passage for contemporary Norwegian youth. Past research has suggested that Russetid (the time of Russ) features the intensified use of alcohol to construct the liminal ritual space and to facilitate social equality, allowing russ to explore their identities with low stakes. However, qualitative interviews with 8 Norwegian young adults suggests that russetid functions to uphold cultural conceptualizations regarding social class, gender, and alcohol use and is not an institution which facilitates equality or social experimentation/self expression. Students self-police each other based on the …

Operating Room Nurses Sleep Health: An Evidence-Based Practice Sleep Health Education Project, Gabriella M. Castignoli

DNP Projects

Background: "Sleep Health" is a new Healthy People 2023 priority due to notable poor sleep health across the nation, with more than 25% of U.S. adults reporting insufficient sleep. Adequate sleep is necessary to work effectively and safely, with operating room (OR) nurses at high risk for inadequate sleep due to atypical work schedules.

Purpose: This project aims to establish the importance of sleep health for OR nurses at a community-based hospital and improve sleep health perception and sleep health through sleep health education with staff.

Methods: The IOWA model for evidence-based practice and quality improvement tools, Plan-Do-Study-Act, and the …

Increasing Opioid Abuse Screening In Primary Care Clinic: An Evidence-Based Quality Improvement Project, Carlos Milla

DNP Projects

Introduction

To address substance abuse multiple organizations recommend increase drug abuse screening as part of routine health care. CAGE AID is five-question tool used to screen for drug and alcohol use, answering yes to two or more questions indicates further assessment is advised. Unfortunately, most primary care centers do not use screen for substance abuse using validated instrument tools such as the CAGE-AID tool.

Purpose

The purpose of this evidence-based practice (EBP) project is to implement the CAGE-AID Substance abuse screening tool by nurse practitioners students in a family clinic located in Bridgeport in order to increase to number of …

Implementation Of A Nurse Driven Palliative Care Consult: A Quality Improvement Project, Socnite Sebourne-Francis

DNP Projects

Background: Palliative care consult (PCC) is an approach that can improve the quality of life and symptom management of patients facing life-threatening illnesses. At a 20-bed medical oncology unit in Connecticut, patients with poor prognosis and worsening symptoms have high re-admission rates within 30 days of post-hospital discharge; yet healthcare providers fail to initiate PCC.

Purpose: This project hypothesizes how implementing a nurse-driven PCC on admission or hospital stays compared to the timing of a physician to a physician PCC improves a plan of care for oncology patients? Will it result in a decrease in 30-day re-admission rates? The …

Improving Specialist Referrals In Outpatient Primary Care: An Evidence-Based Practice Quality Improvement Project, Kimberly Gaznabie

DNP Projects

Background: In the United States, more than a third of patients receive specialty referrals per year, constituting more than half of outpatient visits. Patients require efficient, immediate referrals for specialty-based treatment plans and the prevention of worsening conditions.

Purpose: This evidence-based practice improvement project aimed to improve the specialty-provider referral system for a community-based outpatient primary care clinic.

Increasing The Utilization Of A Cardiovascular Risk Assessment & Screening Tool Through Education In A Primary Care Setting: A Quality Improvement Project, Taylor A. Massey

DNP Projects

Background and Significance: The World Health Organization (WHO) (2021) reports that 55.4 million people died worldwide in 2019; cardiovascular diseases due to ischemic heart disease and stroke were the top two leading causes of these deaths. Experts predict that by the year 2030, more than 22.2 million people will die annually from cardiovascular disease (Ruan et al., 2018). Noninvasive cardiovascular screening tests, such as the "Pulse4Pulse" screening tool, are a way to help providers identify patients at high-risk for cardiovascular disease and initiate treatment to reduce future risk.

Purpose: To increase provider utilization of the "Pulse4Pulse" screening test in a …

The Use Of Telemedicine In Primary Care To Improve Medication Adherence: Quality Improvement Project, Chadae S. Haffenden-Morrison

DNP Projects

Introduction: Lack of medication adherence, a major issue in healthcare, can be costly to the healthcare system and result in poor patient outcomes. Wong et al. (2020) noted that enhanced involvement with health care professionals using the Telemedicine platform can improve a patient’s medication adherence as well as decrease the use of emergency services and hospitalizations. Telemedicine allows the healthcare provider, to contact the patient through a mobile phone or computer to provide education and reinforcement regarding medication adherence.

Purpose: The purpose of this project was to improve medication adherence and health outcomes, by piloting a quality improvement project using …

Enhancing Depression Screening For The Adolescent Population In The Pediatric Emergency Department By Utilizing The Patient Health Questionnaire: A Quality Improvement Project, Chelsea Alvarez

DNP Projects

Background:

Mental health disparities make up 16% of the global burden of disease and injury in people ages 10-19. Many cases of mental health are unidentified and left untreated. Failure to address mental health disorders in children can lead to poor outcomes of health and well-being. Evidence-based practice supports the utilization of screening tools such as the Patient Health Questionnaire-9 (PHQ-9) for depression screening in adolescents ages 12-18 years.

Objectives:

By implementing the PHQ-9 in the pediatric emergency department, the goals for this quality improvement project were to increase staff knowledge on the PHQ-9, improve staff screening compliance, and to …

Implementing A Stroke Process Improvement Group To Reduce Time To Thrombectomy In Patients With Acute Ischemic Stroke At Greenwich Hospital, Victoria Merrill

DNP Projects

Introduction: Delays in door to skin puncture time for patients with ischemic stroke are associated with worse clinical outcomes. The following quality improvement study was conducted at Greenwich Hospital which aimed to decrease door to skin puncture time for endovascular stroke treatment. Greenwich Hospital began its new stroke program in January 2020 and opened thrombectomy capable interventional radiology (IR) services. Delays to door to skin puncture times existed with average time being 100 minutes with a goal time of 90 minutes or less for 50% or more of patients directly arriving to the hospital and 60 minutes or less for …

Implementing A Patient Reported Outcome Measure For Patient With Anemia Of Chronic Kidney Disease (Ckd) In The Outpatient Setting, Marissa Finger

DNP Projects

Introduction: Chronic kidney disease (CKD) is a growing public health concern in the United States. People with CKD suffer from many symptoms that cause distress and low quality of life (QoL). Research has found an association between symptom burden in patients with CKD and the disease's worsening progression. There is little data on ways to monitor and address CKD symptoms routinely.

Purpose: The purpose of this project was to identify symptoms related to advancing kidney disease using patient-reported outcome measures (PROMs) through IPOS-Renal survey and implement a nurse-driven protocol to manage patient reported symptoms.

Interventions/Setting: Over a three-month period at …

An Investigation Of Factors Affecting The Rooting Ability Of Hardwood Muscadine Cuttings And Genetic Diversity Of Wild And Cultivated Muscadine Grapes (Vitis Rotundifolia Michx.), Kenneth Buck

Graduate Theses and Dissertations

The muscadine (Vitis rotundifolia syn. Muscadinia rotundifolia) is a grape species native to the southeastern United States. Muscadines are one of three grape species in subgenus Muscadinia with a chromosome number of 2n=40 (V. rotundifolia, V. munsoniana, and V. popenoei), making them genetically distinct from the European wine and table grape (Vitis vinifera) and other species in subgenus Euvitis. Rooting hardwood cuttings from muscadine vines has traditionally been considered an exceptionally difficult task. Many previous studies observed almost no root formation, leading to a general consensus that muscadines should either be propagated by softwood cuttings or vegetative layering. However, the …

Adolescent Connectedness: A Scoping Review Of Available Measures And Their Psychometric Properties, Ezra Too, Esther Chongwo, Adam Mabrouk, Amina Abubakar

Institute for Human Development, East Africa

Introduction: Adolescent connectedness, a key component of positive youth development, is associated with various positive health outcomes. Several measures have been developed to assess this construct. However, no study has summarized data on the existing measures of adolescent connectedness. We conducted this scoping review to fill this gap. We specifically aimed to: (i) identify the existing measures of adolescent connectedness, (ii) determine the most frequently used measures among the identified measures, and (iii) summarize the psychometric properties of these measures with a keen interest in highlighting their cross-cultural utility and validity.

Methods: We searched CINAHL, Embase, PsycInfo, PubMed, …

Methodology For Classification And Definition Of Epilepsy Syndromes With List Of Syndromes: Report Of The Ilae Task Force On Nosology And Definitions, Elaine C. Wirrell, Rima Nabbout, Ingrid E. Scheffer, Taoufik Alsaadi, Alicia Bogacz, Jacqueline A. French, Edouard Hirsch, Satish Jain, Sunao Kaneko, Pauline Samia

Paediatrics and Child Health, East Africa

Epilepsy syndromes have been recognized for >50 years, as distinct electroclini-cal phenotypes with therapeutic and prognostic implications. Nonetheless, noformally accepted International League Against Epilepsy (ILAE) classification ofepilepsy syndromes has existed. The ILAE Task Force on Nosology and Definitionswas established to reach consensus regarding which entities fulfilled criteria for anepilepsy syndrome and to provide definitions for each syndrome. We defined an ep-ilepsy syndrome as “a characteristic cluster of clinical and electroencephalographicfeatures, often supported by specific etiological findings (structural, genetic, met-abolic, immune, and infectious).” The diagnosis of a syndrome in an individualwith epilepsy frequently carries prognostic and treatment implications. Syndromesoften have age- …

A Community-Based Approach To Cervical Cancer Prevention In Western Kenya: An Ampath Feasibility Project, Elkanah Omenge, Philip Tonui, Kapten Muthoka, Stephen Kiptoo, Titus Maina, Mercy Agosa, Aaron Ermel, Yan Tong, Darron Brown

Obstetrics and Gynaecology, East Africa

Objectives: Centralized programs have been ineffective in reducing the burden of cervical cancer among Kenyan women. A community-based pilot study was initiated to screen Kenyan women for cervical cancer and to vaccinate their children against human papillomavirus (HPV).

Methods: Women were educated about cervical cancer prevention at community meetings. Women then provided self-collected vaginal swabs for oncogenic HPV testing using the Roche Cobas Assay. All women were then referred to the local clinic for Visual Inspection with Acetic Acid (VIA). Women were offered the quadrivalent HPV vaccine for their children if and when it became available for the …

Imparting A Knowledge Of God, Linda Fuchs, Ruth Horton

Lake Union Herald

No abstract provided.

It Is Not A Boerhaave! A Case Of Spontaneous Pneumothorax, Imran Khan, Rukma R Govindu, Hussam Ammar

Faculty, Staff and Student Publications

Spontaneous pneumothorax is a pneumothorax that is not caused by trauma or an apparent precipitating factor. This report presents a case of a 91-year-old man with no history of lung disease who developed pneumothorax after two days of persistent nausea and vomiting. He was misdiagnosed as a case of Boerhaave's syndrome. A chest computed tomography with iohexol oral contrast showed no evidence of esophageal rupture, and an upper endoscopy revealed a small gastric ulcer and no gastric outlet obstruction. The patient was managed conservatively; his spontaneous pneumothorax, nausea, and vomiting resolved.

Waiting Room, Hannah White

Master’s Theses and Projects

The short stories and essays in this hybrid creative collection, Waiting Room, aim to add to critical conversations in both creative nonfiction and fiction about identity in relation to physical places and the body. In this collection, I particularly explore how notions of “home” shape one’s identity: grief, mental/physical illness, displacement from home, and other topics pertaining to the body and physicality.

The "Law To Use The Mark The Delpaís," Act 195-2016: Case Study Of A Puerto Rican Certification Mark With Potential Of Becoming A Geographic Indication For Economic Development, Paola Gabriela Zaragoza Cardenales

Maurer Theses and Dissertations

In 2016, the Puerto Rican Congress codified the “Law for the use of the DelPaís Mark” (the DelPaís Law), creating a composite certification mark called Productos DelPaís de Puerto Rico (the DelPaís Mark) for raw fruits, milk, honey, meats, egg, fish, ornamental plants, spices, vegetables, starches, and value-added products. The Puerto Rican Department of Agriculture intended the DelPaís Mark to function as a certification mark and Geographical Indication (GI) to differentiate local from imported products to promote purchasing of locally produced items and eventually export internationally. A GI is a source identifier identifying that a place makes a particular product …

Immigration In Regard To Economic Labor And Reform, Will Ross, Maryella Mccown, Dylan Stone

Immigration Scholarship: History, Trends and Development in Global Immigration

In the last two presidencies, the United States economy has gone through much development regarding immigration and labor. Many key factors of growth in the economy can be identified pertaining to immigration, such as job fulfillment, innovations, and more productivity. Immigrants arrive in the United States with impressive skills that are needed for many occupations. They also run many of their own businesses and provide food and hospitality services for everyone. A common question that many US citizens wonder is “How do immigrants advantage the United States economy?” By bringing in new skills and ideas that had not been discovered …